Many people are talking about changes in health policy, especially regarding the Affordable Care Act. This is a hot topic for physicians, health system leaders, and politicians who are all trying to improve access to healthcare. Texas, with its large population, has faced significant challenges in health insurance for years.
Texas 2036 is a nonprofit group focused on making the state better for its citizens by 2036, the year Texas celebrates its 200th anniversary. Health care is a big part of their mission. Charles Miller, the director of health and economic mobility policy for Texas 2036, talks about the struggles of the state when it comes to health insurance, especially since Texas often has the highest uninsured rate in the nation.
Miller explains that many people in Texas think they can only get health insurance through their job. If they’re unemployed or their employer doesn’t offer plans, they often don’t know about other options. Many are also unaware that they might qualify for low-cost or free insurance plans. When the Affordable Care Act first rolled out in 2014 and 2015, people found high premiums discouraging. But since then, prices have changed, making coverage more affordable for many.
Recent estimates show about 5 million people in Texas are uninsured. Surprisingly, nearly 40% of them might be eligible for free health plans. While the enhanced subsidies have recently expired, which affects some people dramatically, many still have access to at least one free or very low-cost plan.
Miller highlights that those earning above 400% of the federal poverty level are likely to feel the biggest impact from these changes. For context, this income level is about $60,000 for an individual. In Texas, about 125,000 people fall into this category and may now face significantly higher premiums.
Yet, it’s not all bad news. For those earning less than 200% of the federal poverty level, free plans are still available. Generally, older individuals might find better coverage options, as plans can be more affordable due to subsidy structures.
It’s important to spread awareness about the available options and encourage people to reconsider their perceptions of healthcare costs. Increased sensitivity to affordability can lead to more Texans signing up for the coverage they need.
For more detailed insights into Texas healthcare policies and insurance options, you can visit Texas 2036.

